Mohan Nishna Alichetty
Individual provider Active NPI Internal Medicine Physician · Bedford, TX
NPI 1316634785 · NPPES record last updated Jul 10, 2026
Key facts
- NPI
- 1316634785
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Internal Medicine Physician 207R00000X
- License
- W4744 (TX)
- Practice address
- 1600 Hospital Pkwy
Bedford, TX 76022-6913 - Phone
- (817) 848-2993
- NPI assigned
- Apr 18, 2023
- Sex
- Female
- Sole proprietor
- No
Medicare Care Compare profile
- Specialty
- Internal Medicine
- Education
- Other, 2018
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
10864 Texas Health TRL
Fort Worth, TX 76244-4897
8440 Walnut Hill LN
Suite 800
Dallas, TX 75231-3825
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Interoperability endpoints
- malichetty2376281@direct.texashealth.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | W4744 | TX | Yes |
Addresses
Primary practice location
1600 Hospital Pkwy
Bedford, TX 76022-6913
Mailing address
1600 Hospital Pkwy
Bedford, TX 76022-6913
Other providers in Bedford, TX
- Jorden Marie Alex
- Iman H Ali
- Marina Ali
- Nabil Malik Ali
- Rabia Ali
- Husam H Alkhersam
- All Injury Rehab Bedford, PA
- Allen RX, LLC.
- Alliance Interventional Pain Center
- Allied Center for Special Surgery DFW LLC
All providers in Bedford, TX · Internal Medicine Physician in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 10, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.